CONCLUSIONS. Recommendations are summarized as follows: 1. The detail of a properly qualified medical officer as inspector general of the Medical Department, to serve under the aid for inspections. 2. Typhoid prophylaxis to all persons under 45 years of age in the service. 3. The installation of the bubbling-spring drinking device at all places where drinking water is supplied to the service. 4. Require all officers and men in the service to be able to swim. 5. Erection of sanitary barracks at navy yards for the accommodation of the crews of ships undergoing extensive repairs. 6. Substitution of a sanitary unit system of barracks for receiving ships. 7. Require all persons aboard ship to participate in the physical drill once daily. 8. Establishment of a centrally located dispensary in Washington. 9. Construction of a hospital ship for each fleet. 10. Definition by regulation of the duties, etc., of fleet surgeons. 11. Consideration of changes in uniform. 12. Limitation of athletic sports. 13. Improvement of ventilation of ships underway. 14. Improvement of illumination of living spaces aboard ship. 15. Quarterly physical examination of all persons in the service. 16. Forfeiture of pay by all persons in the service during disability from disease of venereal origin. 17. Prescribe by regulation a percentage of the crews of ships as permanently detailed stretcher men. 18. Urge modification of the liability act of May 30, 1908. 19. Permit the engine-room force to come up on deck in clean dungarees, and require them to spend time each day in the sunlight or fresh air, when possible. 20. No transfer from seaman branch to coal passer's grade, unless recommended after physical examination of medical officer. 21. That those exposed to the damaging effects of gun blasts, and those whose ears are unfavorably affected by swimming and diving, be required to wear ear protectors. 22. Provision for the better protection of food from insects, especially flies. 23. Require denial by recruits of history of "fits," enuresis, drug habit, and insanity. The SECRETARY OF THE NAVY. C. F. STOKES, Surgeon General, U. S. Navy. STATISTICS. The vital statistics of the Navy for the calendar year 1910 are shown in the following tables: 1. General view of the effects of disease and injury in the Navy during the year 1910. 2. Atlantic Station.-Names of ships, average complements corrected for time, admissions and readmissions for disease and injury, sick days, daily average of patients, transfers to hospitals, discharges from the service, and deaths on each ship for the year 1910. 3. Pacific Station.-Name of ships, average complements corrected for time, admissions and readmissions for disease and injury, sick days, daily average of patients, transfers to hospitals, discharges from the service, and deaths on each ship for the year 1910. 4. Asiatic Station.-Names of ships, average complements corrected for time, admissions and readmissions for disease and injury, sick days, daily average of patients, transfers to hospitals, discharges from the service, and deaths on each ship for the year 1910. 5. Receiving ships and station ships. Names of ships, average complements, admissions and readmissions for disease and injury, sick days, average of patients, transfers to hospitals, discharges from the service, and deaths on each ship for the year 1910. 6. Navy yards, marine barracks, and other shore stations.-Names, average complements, admissions and readmissions for disease and injury, sick days, daily average of patients, transfers to hospitals, discharges from the service, and deaths during the year 1910. 7. Detailed statement of disease and injury among the force afloat, 1910. 8. Detailed statement of disease and injury among the force at navy yards, marine barracks, receiving ships, station ships, and other shore stations, 1910. 9. Detailed statement of diseases and injuries treated at naval hospitals and on hospital ships during the year 1910. 10. Report of vaccinations. 11. Prevalence of special diseases and injuries (relation by scale). 12. Mortuary record. 13. Deaths (relation by scale). 14. Detailed statement of disease and injury in the entire service. 15. International nomenclature.-For a comparison of international naval medical returns, the total amount of disease and injury in the Navy during the year 1910 is given in terms of the official English translation of the International Nomenclature. 16. Table showing distribution of disease among occupational groups of the personnel for 1910 by admission, admission rates, sick days, and computed damage. 17. Table showing ships which had infectious and contagious disease on board during 1910 and the character and number of such. 18. Table showing infectious and contagious diseases at navy yards, receivining, marine barracks and camps, and other shore stations. 19. Discharges for disability (relation by scale). 20. Surgical operations. 21. Patients, sick days, averages, etc., at naval hospitals. 22. Statement of cost of maintenance of United States naval hospitals. 23. Recruiting statistics. 24. Insane from the Navy at the Government Hospital for the Insane, Washington, D. C. 25. Tuberculous patients from the Navy at the Naval Sanatorium for Tuberculosis, Las Animas, Colo. 26. Statement of the work done by the Record and Pension Division of the bureau. 27. Table showing diseases which have been most markedly increased or decreased during the year 1910. Ratio per 1,000 of strength, 1910.. Ratio per 1,000 of strength, 1909. Ratio per 1,000 of strength for 10 years (1898-1907).. Total admissions to sick list during the year 1910.. Ratio per 1,000 of strength, 1910.. Ratio per 1,000 of strength, 1909. 1. General view of the effects of disease and injury on the Navy and Marine Corps during the year 1910. Average strength of the Navy and Marine Corps'. Average strength shown by reports of medical department2. Average strength of the force afloat 3. Admissions for disease, afloat and ashore. Admissions and readmissions for disease, afloat and ashore.. Ratio per 1,000 of strength, 1910. Ratio per 1,000 of strength, 1909. Ratio per 1,000 of strength for 10 years (1898–1907). Admissions for injuries, afloat and ashore.... Admissions and readmissions for injuries, afloat and ashore. 58,340 56, 721 35, 567 32, 419 41,952 739.62 797.28 648.38 5,585 6,843 120.64 119.56 126.59 38, 004 Total admissions and readmissions to sick list during the year 1910. 670.01 Average for each man of the Navy and Marine Corps, 1909. Average for each man of the Navy and Marine Corps, 1910.. Total number of sick days due to injuries.. Total number of sick days (including officers' sick leave, 3,874 days)5. Ratio per 1,000 of strength, 1910. 15.00 Deaths from disease".. Ratio per 1,000 of strength, 1910. Ratio per 1,000 of strength, 1909.. Ratio per 1,000 of strength for 10 years (1898-1907). Deaths from injuries (including poisons)5. tio per 1,000 of strength, 1910.. natio per 1,000 of strength, 1909. Ratio per 1,000 of strength for 10 years (1898-1907). 1 Used in computing ratios of deaths and discharges for disability. 2 Used in computing all ratios except those of deaths and discharges for disability. 3 Exclusive of hospital ships, receiving ships, and station ships. Exclusive of Naval Hospital for Tuberculosis, Las Animas, Colo. When a patient is admitted to this institution it is considered as a discharge for disability. Therefore, sick days and deaths at Las Animas, and also at the Government Hospital for the Insane, are not used in computing the above ratios, but the admissions to these institutions are included in reckoning the invaliding rate, or discharges for disability. 5 Exclusive of Naval Hospital for Tuberculosis, Las Animas, Colo., and Government Hospital for Insane. Includes 206 patients invalided to Naval Hospital for Tuberculosis, Las Animas, Colo., and 65 to the Government Hospital for Insane. Name of ship. Total deaths from all causes 1 330 Ratio per 1,000 of strength, 1910.. 5.66 5.00 6.62 3. 659 3.952 Ratio per 1,000 of strength, 1909. Ratio per 1,000 of strength for 10 years (1898-1907).. Total damage in percentage of sick from diseases, 1910. Total damage in percentage of sick from diseases, 1909.. Average damage for 10 years, 1895-1905 (excluding 1898, war year). Average damage for 10 years, 1895-1905 (excluding 1898, war year). Average grand total damage for 10 years, 1895–1905 (excluding 1898, war year.... 4. 395 .776 .667 .786 4. 435 4. 619 5. 218 1 Exclusive of 27 deaths at Naval Hospital for Tuberculosis, and 6 deaths at the Government Hospital for Insane. Average complements corrected for time, admissions for disease and injury, sick days, daily average of patients, transfers to hospital, discharges from the service, deaths, and admission rate per 1,000 for primary venereal infection (chancroid, gonorrhea, and each ship for the year 1910. 2. ATLANTIC STATION. syphilis) on 365 84 54 16 70 833.33 362 .99 11.78 8 273.80 604.55 3,118 8.54 9.16 55 190.68 1.04 15. 29 7 308.81 7.84 9.60 26 4 1208.33 3.95 13.12] 18' 1 1 372.09 6.59 14.44 43 2 3 259.01 |